DR. BRIAN EOIN COSTELLO (NPI# 1821144163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821144163 |
| Entity Type | Individual |
| Full Name | DR. BRIAN EOIN COSTELLO |
| Credential | M.D. |
| Practice Address |
1645 Tullie Cir Ne Division of Pediatric Emergency Medicine Atlanta GA 30329-2304 |
| Practice Telephone | 4047857130 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 061226 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962829416 | Brian Michael Costello | Counselor | 5182 East Pkwy, Hamburg, NY 14075-5748 | 2014-03-22 |
| 1477982064 | Brian Costello | Durable Medical Equipment & Medical Supplies | 4916 N Crescent Ave, Norridge, IL 60706-3108 | 2013-11-05 |
| 1437352911 | Brian Joseph Costello | Internal Medicine | 3080 Hamilton Blvd, Suite 350, Allentown, PA 18103-3694 | 2007-06-11 |
| 1396833257 | Brian John Costello | Physician Assistant | 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 | 2006-10-10 |
| 1932179181 | Brian A Costello | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
| 1154306454 | Brian L. Costello | Physician Assistant | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-12-08 |
| Street Address |
1645 TULLIE CIR NE DIVISION OF PEDIATRIC EMERGENCY MEDICINE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846961 | Peter Glen Strauss | Pediatrics | 1645 Tullie Cir Ne, Division of Pediatric Emergency Services, Atlanta, GA 30329-2304 | 2006-03-23 |
| 1821482449 | Deborah Leake | Nurse Practitioner | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2015-03-20 |
| 1982010146 | Caryn Robertson | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329 | 2014-07-09 |
| 1467870360 | Anita Bharath | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2014-03-29 |
| 1902237522 | Joseph Simon | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-12-07 |
| 1710322144 | Courtney Allen | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-04-29 |
| 1053754200 | Nehal Patel Bhandari | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-04-08 |
| 1184966921 | Amy Cheng | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-03-19 |
| 1528355880 | Kimberly Lauren Norris | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2011-07-06 |
| 1689965808 | Lauren Sullivan Middlebrooks | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2011-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.